<html>

<head>
  <meta http-equiv=Content-Type content="text/html; charset=iso-8859-1" />
</head>

<body>

<table border="1" cellspacing="0" cellpadding="0" width="550px">
  <tr>
  <td colspan="2" width="50%">Naam</td>
  <td colspan="2" width="50%">Voornaam</td>
  </tr>
  <tr>
  <td colspan="4" width="100%">Straat en nummer</td>
  </tr>
  <tr>
  <td width="25%">Postcode</td>
  <td colspan="2" width="50%">Woonplaats</td>
  <td width="25%">Land</td>
  </tr>
</table>

</body>

</html>